Effect of general self-efficacy on promoting health-related quality of life during recovery from radical prostatectomy: a 1-year prospective study

Effect of general self-efficacy on promoting health-related quality of life during recovery from radical prostatectomy: a 1-year prospective study

Background The decline of health-related quality-of-life (QOL) during the year after radical prostatectomy is severe. General self-efficacy (GSE) is an effective psychological factor for long-term regulation of patient behavior and emotions. GSE is expected to facilitate enhanced health-related qual...

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Bibliographic Details
Published in:International journal of clinical oncology Vol. 25; no. 12; pp. 2122 - 2129
Main Authors: Kawaguchi, Kansuke, Kawazoe, Hisashi, Sakurai, Toshihiko, Nishida, Hayato, Kanno, Hidenori, Naito, Sei, Kato, Tomoyuki, Konta, Tsuneo, Tsuchiya, Norihiko, Sato, Wakako
Format: Journal Article
Language:English
Published: Singapore Springer Singapore 01-12-2020
Springer Nature B.V
Subjects:
Aged
Cancer Research
Cancer surgery
Humans
Japan
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Article
Prospective Studies
Prostate cancer
Prostatectomy
Prostatectomy - psychology
Prostatic Neoplasms - psychology
Prostatic Neoplasms - surgery
Quality of Life
Self Efficacy
Surgical Oncology
Urological surgery
Japan
Radical prostatectomy
Health-related quality of life
General self-efficacy
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Summary:Background The decline of health-related quality-of-life (QOL) during the year after radical prostatectomy is severe. General self-efficacy (GSE) is an effective psychological factor for long-term regulation of patient behavior and emotions. GSE is expected to facilitate enhanced health-related quality of life. We evaluated changes in GSE and analyzed the relationship between GSE and prostate cancer-specific and general health-related QOL. Methods We conducted a longitudinal survey with 104 patients who underwent radical prostatectomy and administered the General Self-efficacy Scale (GSES), Expanded Prostate Cancer Index Composite (EPIC), and SF8 Health Survey (SF-8). ANCOVA was performed to compare EPIC and SF-8 between GSES high and low-medium groups. Results GSES scores increased significantly after 6 months. Regarding EPIC urinary summary scores, high GSES group was significantly higher than low-medium group at 1 month (mean score difference [MSD], 7.3; 95% CI 1.1–13.2, P  = 0.016), 3 months (MSD, 6.8; 95% CI 0.7–12.8, P  = 0.028), and 6 months (MSD, 6.3; 95% CI 0.9–11.7, P  = 0.022). High GSES group had significantly higher SF-8 physical component summary score at 6 months (MSD, 3.2; 95% CI 1.4–5.0, P  = 0.001), and significantly higher SF-8 mental component summary score at 1 month (MSD, 2.6; 95% CI 0.4–4.9, P  = 0.022), 3 months (MSD, 2.7; 95% CI 0.8–4.6, P  = 0.007), and 6 months (MSD, 2.8; 95% CI 1.0–4.6, P  = 0.003). Conclusion This study suggests that high GSE was associated with better prostate cancer-specific and general health-related QOL after radical prostatectomy.
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ISSN:1341-9625
1437-7772
DOI:10.1007/s10147-020-01765-z